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Dr. Frederick L Wilson , EdD

Psychologist β€’ Chesapeake, VA

Active NPI 1144427196 Individual Practitioner Male Practitioner Accepts Medicare assignment Telehealth (some services)
Practice location in NPPES

2117 Smith Ave, Suite B
Chesapeake, VA 233202519

Call 7579373969 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

2117 Smith Ave
Suite B

Chesapeake, VA 233202519

Telephone 7579373969
Fax 7575481928
Organization at the Same NPPES Address or Phone
Comprehensive Psychological Services Facility NPI 1598861387

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: Mental Health Specialty Group Pa. See the list

Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026

Graduation Year

2010

Years since graduation

16 years (graduated 2010)

CMS Doctors and Clinicians data list 2010 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026.

NPI first issued

2007

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians, CMS release of October 2, 2026; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

Telehealth (some services)

Recent Medicare claims show this clinician provided some services by telehealth, such as a video or phone visit.

What this does not show: Telehealth (some services)

It does not mean all services are offered by telehealth, or that telehealth is covered by your plan.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians, CMS release of October 2, 2026.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Wilson has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Wilson as eligible to order or refer Medicare Part B clinical laboratory and imaging services and durable medical equipment (DME) for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Chesapeake and Virginia

15 active clinicians are listed under Psychologist with a practice address in Chesapeake, VA (504 in Virginia).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Chesapeake

33.3% of these 15 clinicians have the CMS telehealth indicator.

33.3% of these 15 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS release of October 2, 2026, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-07-11
Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

License # reported to NPPES VA 0701005950

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Counselor - Mental Health

NUCC Taxonomy Code: 101YM0800X

License # reported to NPPES NC 6644
Counselor - Mental Health

NUCC Taxonomy Code: 101YM0800X

License # reported to NPPES VA 0701005950
Counselor - Professional

NUCC Taxonomy Code: 101YP2500X

License # reported to NPPES VA 0701005950
Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Virginia Department of Health Professions.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - MENTAL HEALTH COUNSELOR

Medicare Enrollment ID

I20240509001393

Enrollment State Jurisdiction

VA

PECOS Control ID

5991065401

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Not Eligible
Power Mobility Devices (PMD) Not Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026

Mental Health Specialty Group Pa

None, Churchville, VA 24421

Phone: 3232057088

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

2 listed
Thomas Kannon , PMHNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1396112538

Psychiatric-Mental Health Nurse Practitioner

Craig Tyson , PMHNP-BC

Nurse Practitioner - Psychiatric/Mental Health

NPI 1720342272

Psychiatric-Mental Health Nurse Practitioner (Board Certified)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location February 07, 2023

Registered at 2117 SMITH AVE, SUITE B, CHESAPEAKE, VA 233202519 (Tel: 7579373969)

πŸ“
Updated Business Mailing Address February 07, 2023

Registered at 2117 SMITH AVE, SUITE B, CHESAPEAKE, VA 233202519 (Tel: 7579373969)

πŸ‘€
Provider Name / Credentials Updated February 07, 2023

Recorded as FREDERICK WILSON, EDD

βœ…
NPI Profile Active September 16, 2011

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) September 16, 2011

Registered at 216 STEWART PKWY, WASHINGTON, NC 278894972 (Tel: 2529460585)

πŸ“
Business Mailing Address (Initial Record) September 16, 2011

Registered at 216 STEWART PKWY, WASHINGTON, NC 278894972 (Tel: 2529460585)

πŸ‘€
Provider Name / Credentials (Initial Record) September 16, 2011

Recorded as FREDERICK WILSON, EDD, LPC, NCC,LCAS,

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 16, 2011

Counselor (license number reported to NPPES: NC 6644)

🟒
Initial NPI Registration & Enumeration July 02, 2007

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1144427196
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 02, 2007
Last Update: July 15, 2025
Sole Proprietor: Yes

Other Psychologists in Chesapeake

Healthcare providers in Chesapeake

Mailing Address

2117 Smith Ave, Suite B

Chesapeake, VA 233202519

Phone: 7579373969

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.